Urolift - Preoperative Instructions and What to Expect Afterward the Procedure

[@randolphreid266]

I had it done today with laughing gas. No problem. Drove myself home.

[@pnus]

So glad to hear you did great!

[@tomtraveltigard]

Pacific Northwest Urology Specialists , PLLC

[@toddgilreath3199]

And how are you now? Success?

[@grimreaper4015]

Way cool

[@PFB181]

I had this procedure done three weeks ago. The first four days are uncomfortable. This is due to tissue healing. After that it's been great. I wish I had had it done sooner. I took a valium one hour before the procedure and used nitrous gas during the procedure. No pain. I would highly recommend anyone having this done. It's a vast improvement. I feel like I'm twenty years old again.

[@barium0u812]

Had this done yesterday morning 4-29-21 @8:30 am with local anesthesia method ie.valum,oxycodone and lidocaine. I felt the staple firing while I watched on the monitor, the water injection into the bladder was the most intense discomfort. 8:45 am Its all done and get up from the table and hit the toilet peeing..blood and clotting but not bad. 9:15am walk out and head home (I live 1 mile from office). 10:00am-3:00pm still burning during urination with some blood and small clots BUT! I made Sure I drank lots of water to flush out. 7:00 pm No more blood in urine and flow was increasing with very minimal burning sensation. Bed time..I did get up every 2 hours to pee which is normal after procedure but the flow was getting stronger. Today 4-30-21 @3:00 pm Day two and I no longer have the feeling of having to pee all the time. So my experience is for 10 minutes of (discomfort/pain) it's well worth the gain of peeing like a racehorse!

[@dl4511]

I had the UrolLift procedure done somewhere else and it was a total failure. Prostate size, lobe positions and bladder neck all met preoperative screening and I was considered an excellent candidate. I wasn't given a foley after the surgery and ended up in an ER from total urinary retention. I ended up having to wear that for a few weeks until a urodynamic test could be performed but the doctor told me I would likely have to self-cath. for the rest of my life. I never had to do that before the procedure but have relied on Flomax. Results of the urodynamic proved I did have bladder function even though the doctor said prior visualization of the bladder wall suggested it was stretched and "capacious". With no explanation of why the Urolift has made me worse he is suggesting TURP. While some of my urinary functioning slowly returned after a couple of months back on Flomax, I'm still worse than I was prior to surgery and I won't be seeing him again. I thought Urolift would be bullet proof. If placement of the "tethers" and anchors are correct and visualization shows the urethra is properly dilated, how can it not work? I'm reading more and more people who are not having any success with UroLift and not finding as many positive outcomes here on KZbin. Not scientific for sure but something just doesn't add up.

[@boriswilliams5774]

You need to shop around for a NEW Urologist. Also. one that won't have others doing procedures that he should be doing.

[@StevenBanks123]

Thank you for the caveat; it’s not all golden. Pun noticed.

[@robertmeyer1885]

Nobody can feel another's pain, but I can empathize after having my own problems with Urolift. I hope things have improved for you since your original post.

[@robertstancliffsr9575]

I had Urolift about a year ago and now I'm pretty much back to where I was before anything was done. The pain involved after the procedure was horrible and I was sent home without a catheter, which meant that evening had to go to a hospital emergency room to, after a long wait, get a catheter installed. Bleeding and blood clots continued for about 4 weeks. Now I still have to get up 6 or 7 times a night to pee....like before it was done.....looking for the next step to hopefully make it better........

[@alercico]

Thank you, I had it done 4 days ago and was going crazy with the frequency and urgency of urination since the surgey, I'm glad to know that is normal.

[@davidbolinger1694]

I had my euro lift done on Oct 21. I’m sure the numbing jell helped but some form of laughing gas did the trick! I was almost all the way out and did feel alittle but very satisfied with the outcome. ( Oct 25 now) I was sent home with a cath but it didn’t bother me much, even removed it myself. Only minimal discomfort on day one. Feel 100% as of yesterday even tho I taking it easy. I have a very strong stream but will have to give it time for full results. I do believe the doctor you choose make a difference. My doctor had done over 600 procedures and is teaching others how to address the medium lobe ( which I had ). There is always risk. Choose A Good Doctor!

[@lewisamberg4640]

I had this done 10 days ago. I was knocked out in a hospital tho for just over an hour. Woke up a little sore down there. Blood in urine for about 4 days and had very little control at first - luckily I was wearing two pair of sweatpants - I did pee on myself 4xs - then I learned quickly. This is 10 days later - as I post this - still sore when I pee - overall though - about a 40-50% improvement. I still wake on some nights every two hours to pee, but on some nights - I’ve slept between 5/7 hours. For me this is and was a blessing to have done.

[@anned.4250]

How are you now? Well. I hope!! My husband just had this done 1 wk ago & he is feeling like his flow is not good. Did you have that issue? Trying to Google some help for him 😢 Thanks for sharing.

[@billycampbell769]

I had the procedure over a week ago. Very well pleased .

[@pepper13111]

I’d leave with a foley?

[@pnus]

So glad this went well for you!

[@flashracer2467]

Had procedure 2 weeks ago. I am 59 years old. I was somewhat sedated but not as much as I wish. Expect burning and blood clots for couple days after. I wore a depends at night but didn’t need it. I still take tamsulosin at bedtime. Stream is much better. Urinating frequency has reduced. I am told it will improve. Go back to urologist in 6 weeks

[@pnus]

Thanks for sharing your experience! Best of luck!

[@henryduren7026]

Thanks for sharing

[@Flashracer1]

@@DG-ie5ip I still have to take tamsolosin . I can still ejaculate but need viagra to work. Overall I didn’t see the benefits and still retain urine in bladder.

[@WINGSMO1]

Had Urolift done 2 days ago, doctor said everything went great, had it done in a surgery center in are local hospital. Was knocked out for the surgery, lasted 45 minutes or so went home same day. Worst part was i had a catheter for the night till the next morning when my doctor removed it. Day 2 still urinating a lot and is somewhat painful, hope like it has been told that all will go away after a couple of weeks.

[@islandknight6105]

How is your results after about a year?

[@samkitty5894]

Frequent urination at night has little to do with prostate troubles. When we are in bed, our bodies are horizontal, and our heart has easier time pumping blood through our body. As a result of increased blood flow, kidneys work harder and produce more urine.

[@garlandetheridge9902]

Really helpful comments from the community. Many thanks.

[@jerryroberts4745]

I had this done and the urologist I used had planned on doing it under general. The problem was no one told me not to eat. I was given nitrous and the procedure was excruciating. I jumped during the process and it nicked my urethra lining so I got a Foley catheter I had to leave in for 5 days. I would have rescheduled and done it under general if I could do it over again. I am hoping I get the results that they claim because so far it’s been a real ordeal. You are getting staples put in your prostate. I’m not sure how some guys say... ah no big deal. My urologist does all of his under general. That’s my advice but if you want to do it without anesthesia... be forewarned.

[@boriswilliams5774]

Any good Uroligist will numb you first with lidocaine and not the nurse who isn't even needed for a scoping procedure. Just making more money

[@slava1959]

It worked for me for only two years and then urgency returned. Tried to talk to the Urolift company but they refused to talk to me. Any ideas to extend the lifespan of the implant? Was hoping for it to last at least five or even ten years.

[@Richie8614]

They really have a listed number?

[@samkitty5894]

If a redo is required, how do they retrieve the staples, especially the ones on the far side of the prostate? Or, do they leave them in place? If staples break, how to you find the broken pieces?

[@eleveneleven6638]

Urolift completely and permanently destroyed my life !!!! Now I am faced with my new urologist wanting to do another surgery (greenlight) to correct to the botched UROLIFT procedure. I am told I would have to self catheterize everyday possible for the rest of my life. My symptoms now are WORSE than before Urolift. Please be advised and don't say I didn't warn you if you get this procedure !!!!!

[@mwngw]

Could someone please indicate EXACTLY what prostate characteristics qualifies, or disqualifies, a prospective patient for the Urolift procedure? I have a 140 mile trip to the closest trained physician in Oregon. Thanks.

[@pnus]

mwngw FDA has approved it for men over 40 with a gland size less than 80 grams. Some prostates are not as favorable as others for the procedure but there is a lot of variability and subjectivity to that. That is best evaluated by a cystoscopy prior to the procedure.

[@lamarrharding4776]

I had the proceedure closer to home. IT HURT LIKE HELL,! Lidocaine and nitrous oxide might have helped but I felt all 4 poke and pinch as it was placed. Only bled a couple times after. Three weeks later I still apply lidocaine on my perineum sometimes to relieve the PINCHING SENSATION! Urination is getting better but it is still over ten times a day. My advice is to bring diapers.

[@lamarrharding4776]

Two months later I still feel like my prostrate is pinched (that is what it does, , pinch the organ to open the center! Dah!) I'm sleeping through the night, instead of getting up 3 to 4 times. I still have urgency during the day (wetting my pants 2 to 3 times a week). It's better than my friends who had Rezum or TURP, but I'm not sure I'd do it if I knew then what I know now.

[@lamarrharding4776]

Four months later back on Pygeum and the pain and urgency have disappeared, it's better than Pygeum alone before Urolift. Your mileage may vary.

[@lamarrharding4776]

Six months later it is still a constant pinch. Next month I'm going to another urologist who helped develope the proceedure and ask what went wrong and if he can remove or otherwise remedy my pain. IF I KNEW THEN WHAT I KNOW NOW I WOULD HAVE NEVER DONE IT! The urologist who did it says l'm the only person who ever complained about it.

[@lamarrharding4776]

One year later, urinating twice a night, taking Tadalafil, wearing feminine pads, had a mammogram because my tit's are growing and tender. The doctors who did the mammograms said it could be from medications for my prostrate, it isn't cancerous. It felt like peeing razors and sitting lemons after the procedure. I saw a pain care doctor yesterday.

[@jacksimmons3895]

@@lamarrharding4776 That fucker is LYING!

[@eleveneleven6638]

Yes I had the procedure 3 years ago and It was one of the WORST decision I have ever made. I regret it. I am now suffering the consequences because the #Urolift procedure has made my condition worse than it was before.

[@fabcorp1]

just had mine done yesterday in Michigan. yesterday was hectic due to bladder spasms where u feel u always have to go although nothing is there. its about 16 hours later, it feels better i can tolerate it. i jump into my hot tub help tremendesly. i was given anxitey gas which id ok but if i was to do it again i would go genral.

[@katherinemarkolovic9915]

I would not recommend this Urolift to anyone, My husband had it done a week ago and its been a nightmare. Emergency room 3times catheter clogged with clots. One week after surgery has to self cat. He wishes he just left it alone. He still gets up several times a night to pee. Even after self cat at bedtime. This is horrible. What was supposed to be a easy procedure with improved benefits has turn out to a complete nightmare. Praying for his healing and a solution. What should we do??

[@boriswilliams5774]

Check with legal counsel and look for a new Urologist. Make sure that he doesn't have his assistants doing what he's being paid to do.

[@luigi5890]

Your Prostate will continue to grow after this procedure, what happens to these hooks then?

[@markjefferson4914]

I had the Urolift done two days ago, I only suggest you do this under general anesthesia, no way I would do it otherwise. The pressure afterwards is barible, I passed clots the first 24 hours and this is my third day and feeling slugish and just different down there. Sitting in one position is uncomfortable for a long period of time.

[@door2416]

I totally agree. I am about 4 weeks out from my procedure. No way I would do this under a local. I don't get where some make it sound like a piece of cake. The first week is hell on earth with the burning when urinating. At week 4 everything has started to settling down to "somewhat" normal. I have good flow and just hope it has a lasting effect. Good luck with yours.

[@robertmeyer1885]

Well, I just finished by second Urolift a few days ago. It was in office under valium and local anesthetic. Because it was a redo, a company rep from Urolift was present to observe. IT HURT LIKE HECK! That was on Tuesday. Today's Saturday and I still have significant blood in my urine and it still hurts a bit when I pee. The flow is a bit better, but not what I thought it should be by now. I assure you, this was my last Urolift. I read somewhere that the FDA shows Urolift has a 14% failure rate within 5 years. When I mentioned this to the company rep, she became defensive and corrected me indicating it was actually 13.5%. If this one fails at any point, they'll be hearing from my lawyer.

[@robert2948]

I have this procedure scheduled 11 days from now (July 15, 2022), and just started reading these testimonials. Needless to say I'm having second thoughts. If the success rate is 86%, where are all of the positive stories? These tales are at least 86% negative...

[@robertmeyer1885]

@@robert2948 Robert, don't use testimonials for a basis of statistical evaluation. Only people who have strong feelings one way or another are likely to post anything. We tend to be outliers. The FDA puts the redo rate at 14% up to 5 years. The rep. from Urolift I spoke with put it at 13.5%. Second, success rate is relative. I first had the procedure 5.5 years ago. Things went well for the first three years, then my urethra began to close up again. The vast majority of people don't have this problem. Unless your under a general anesthetic, this procedure is not painless. However, it is survivable (I may just be a pain whimp). Moreover, there is a whole lot of variance between patients. No individuals experience should be taken as "typical".

[@robert2948]

@@robertmeyer1885 thanks but I chickened out. Going to do more research before I make a decision going forward.

[@tsnrhm]

@@robert2948 Best to follow your instincts.

[@John-hq6em]

I had Urolift done and it has been a total disaster. Pain, incontinence, catheters. Now when I can pee, it sprays every which way but in the toilet. This procedure is criminal and should be outlawed.

[@bobbender5858]

I had the procedure with a local anesthesia. It was fast and painless. The downside is that the procedure wasn’t as effective as I was hoping. I’d guess a ten to fifteen percent improvement. I was hoping for more. As a result I’m also now taking Cialis. The Cialis and the urolift together have improved my symptoms by about thirty to forty percent.

[@valeo6820]

I would love to see urologist undergoing this procedure himself under local anesthesia. Yes, it it cheaper ( translation : usually more money going to the pocket of the urologist ) , safer than general anesthesia , but always painful. Doctors should be honest about it. Discomfort / pressure are euphemisms substituting for one crucial world : pain. This procedure can be very safely performed with IV use of ketamine or propofol. No intubation neeeed, but a presence of CRNA is required.

[@pnus]

We are happy to do the procedure under any anesthetic: local, nitrous oxide, or sedation/general anesthesia with the use of an anesthesiologist per the patient's request. One is not more or less expensive for us and has no impact on our reimbursement. Most people have had no problems with local anesthesia and answer afterwards that they would do it again the same way. We have recently incorporated nitrous oxide as an option as well for people who may worry about discomfort. Some people simply do not want to be awake for a procedure such as this so we do offer to have an anesthesiologist present. That would be a separate charge for the patient to the anesthesiologist and not us in urology.

[@msks723]

@@pnus My hang up is having female nurses, scrubs and cnas. There are a growing number of men who are trying to let the medical establishment know that they too want to retain their modesty and dignity as women do. How many women have to go to male mammographer or have pelvic ultrasounds by male sonographer? How many women readily accept male nurses, cnas or scrub techs etc for child birth or female surgeries. Men and w omen have a choice of male or female physicians or surgeons. That is not the problem. The problem is that men can not ask for or receive gender preferred support staff without being ridiculed or made to feel like wimps. Men are to suck it up. My suggestion to all physicians is to go to Dr. Maurice Bernsteins blog about medical dignity and modesty and check out the Medical Patient Modesty blog by Misty Roberts. They will see this is a problem. My spouse and I follow these sites although we have not commented. Basically because the male member of this household has been put down and ripped apart for his (our) views on this subject by female scrub techs, nurses, etc. Why can a man not go to a urologist and it be a male urology clinic or procedure center and receive all male support staff?

[@dl4511]

I feel the same way you do. @@msks723

[@raffie3243]

Hi @@msks723 Please don't let your male member of the household get discouraged because some loud mouth healthcare workers are trying to belittle him. Men cannot allow anyone to silence their voice on this issue. Men have a valid grievance against the healthcare industry and as more men come onboard and start speaking up more and louder, people are going to listen, and as more urologists listen to their male patients, they will start hiring more male personnel and they, will be the doctors that get all the business from men in need of a urologist's services. In the words of Margaret Mead; “Never doubt that a small group of thoughtful, committed, citizens can change the world. Indeed, it is the only thing that ever has.” Regards, Raffie

[@sidgarrett7247]

My urologist is a very nice lady, but as you say, I was taught modestly at a young age and exposing myself to the world was uncomfortable. But I’m am old retired soldier and I have over came my shyness around the medical profession. By the time of my urethra cycoscope (spelling?) I had had three colonoscopies, and they turn you every way but loose. The medical profession have seen hundreds every year while doing their jobs.

[@beboboymann3823]

When considering the Urolift verses the Green Light procedure, can this be determined at the time I show up for a procedure or does it require a scope inserted into my urethra for evaluation prior to showing up for the work?

[@richardstripling4125]

Don’t do the Green Light procedure. I did it 7 years ago and I still regret it. Can’t ejaculate anymore and have a week stream. I’m going for the Eurolift procedure next week.

[@02chevyguy]

I'm hoping someone can help me out. I had the procedure done on on the 10th of January. Went to see my Dr today 3 weeks later (PA saw me, not Dr.). She gave me the go ahead to stop my meds (Proscar and Flomax, both generic). I'm concerned about withdrawal side effects. Are there any and what are they?

[@pnus]

Ive never heard of withdrawal symptoms from those medications. If symptoms return you can consider going back on the medications.

[@boriswilliams5774]

Don't stop your medications if they are helping. For a follow up after any surgery but especially for this type. I would certainly NOT see a pa who did not do your surgery. It seems as if the Urologist is avoiding you.

[@hoffy1003]

I had the procedure last week with all the usual expected discomfort following. However is it normal for the stream to be bad in the beginning. I urinate immediately now, unlike before but the stream is slow, starts dribbly and sometimes the stream does straighten out for a moment during, but then dribbles again til the end. Is this normal for the first week? And yeah, it IS quite painful but calms down after I'm done.

[@pnus]

There can be common irritating inflammation symptoms for a few weeks after. If your symptoms don't get better in several weeks, check in with your surgeon.

[@Ben-tr]

A urologist said i had overactive bladder...i saw another urologist and he said i have an enlarged prostate with the possibility of thus procedure..hope i can drive home since ill be by myself

[@bobbender5858]

I had this done over a year ago. The procedure was painless but the results very disappointing.

[@farukatasever2933]

Give us some more of your experience. THANKS. HOPE YOU GET BETTER SOON.

[@jerryhutchens01]

Mine was a local Anastasia and was told not to eat or drink anything after 12 am or 8 hours before procedure.

[@thomascox6836]

I had this procedure done 3 years ago came off my meds soon after,6 months ago had blood in my urine had internal examination, it was found the sutures had cut through the prostate and are now embedded in.dont know what happens next fortunately I live in England where the treatment is free

[@melody1t]

Thomas Cox how did they end up fixing it?

[@stevefulscher8531]

it's not free, you paid for it your whole life in high taxes

[@robert2948]

@@stevefulscher8531 if he worked...

[@raymondrizzuto7997]

I'm having this done shortly. The doctor originally wanted to do it under sedation, but I convinced him to perform it with a local only. I'm not sure if that will be just the Lidocaine or something like an epidural. I am curious about the anxiety medication you mentioned. What is it, and does it leave the patient awake? I wouldn't mind something that relaxed me without putting me to sleep or giving me amnesia. I would like to recall the procedure.

[@davidrochlis5038]

Good luck. I (73 years old) had Urolift done February 2 almost 5 weeks ago. I read too many horror stories about having procedure using a local and opted for IV sedation (Propofol). Woke up 30 minutes later with catheter which was removed one day later. Similar post procedure issues, passing blood clots, urgency, frequency, burning, and a little dull pain on bottom. At one week out I felt pretty good and saw my Urologist after 3 weeks. He told me I had no urine retention in my bladder and after answering a few questions he thought I was doing well. I haven’t noticed a much of a change in my stream and I’m still getting up at night a few times. I’m no worse off but I hope for more improvement as time goes by. Will see Urologist again end of March for 2nd follow up.

[@luigi5890]

What is the ….. Long Term ….. prognosis of the Urolift procedure, 3, 5, 10 Years??:?????? The Rezum procedure is only about 3 years.

[@robertadams2857]

Local! That’s crazy. I just had a scope to see if everything is ok. Drove me crazy it hurt. I asked about laughing gas and he doesn’t do that. Said I will be under anesthesia for procedure. Question: is it not common to do the first scope without anxiety meds? Of any kind?

[@stuff3583]

Don't get your tail in a knot. One week out. Just had the Urolift done. As for pain after..... it's pretty minimal to NONE. I had a Percoset, Lidocaine, and Antibiotics for 7 days.They placed 6 stents. The whole procedure took maybe 10 minutes. NO PAIN, no catheter. The only thing I feel is some burning while peeing and that may take another week to resolve..... it gets better each day. I do have almost uncontrollable urges and wear pee pads just in case. If I need to...... I just pee into the pad if I'm not home, they're abosorbante enough to hold whatever the load, no racing for a bathroom and no one knows I just had an accident. Positioned properly the don't leak or show leakage! This too is resolving as my prostate heals.... the poor thing just had 6 stents fired through it. I'm not using my flomax at the moment. I'm looking forward to next week as things resolve..

[@slava1959]

For me Urolift lasted for only two years. I was counting on FIVE or even TEN. Not happening

[@rickmontague4397]

I had 7 implants and they don't work. Bleeding 6 months later. Had to have C.T. Scan and Bladder Scope. Urologist says to me he thinks he put one of the Implants in too close to my Bladder. He tells me Good News, he can fix it! He tells Bad News, is I would need to be put under in the hospital. My question is "Should I have to pay for this? Since he made the mistake. I had the Urolift thinking I could get off taking Tamsulosin. That didn't happen. If I don't take it, I cannot Urinate at all. If I forget to take it, just one day, I pay for it! My Conclusion! Urolift Was A Big Mistake!

[@46wac]

I don't recommend local anaesthesia. Forget the xanex or whatever they give you to relax. You are still going to feel pain during the procedure. I just had it done 2 days ago.

[@tommac21]

How about a bottle of JD

[@dougnykel7693]

But !!!, does the prostate still grow, and press against the bladder ???

[@robertmeyer1885]

Your urologist may recommend a re-do. Given my experience with my re-do, I'd advise you to think long and hard before agreeing to it. Have you had any luck with Flo-Max since your urolift?

[@viagrykeedbr549]

it'll be a while before there's a redo and it would be with a different vet. this dr said he had 400 or so. whatever

[@LonskiBig]

....This is approaching the 2 year mark since this video was released, and about 7 years since the procedure was approved. There should be a substantial track- record by now with the bugs worked out......Who would have thought that a "grappling hook" shot to the other side of the gland would do the trick...

[@pnus]

5 year data appears to be pretty reliable results. L.I.F.T. study published a few years ago and I haven't heard of any updated data but would expect more in the next few years. (www.canjurol.com/html/free-articles/V24I3_08_FREE_DrRoehrborn.pdf)

[@grimreaper4015]

Thank you, I'm having one tomorrow

[@352marshall]

Do I need glasses or is the camera not focused?

[@notredameandcoltsfan]

I will never have this done. My dad had it done

[@lourak613]

Can you tell me whether this procedure is covered by Medicare?

[@dl4511]

Medicare covered my Urolift.

[@lookingforonetruechristian7396]

Ok...how does this work for one of you Medicare covered it and for the other it only partially covered it. WTF

[@robertadams2857]

I was told 100%. Now I have to check that again.

[@RonHartmanNet]

@@lookingforonetruechristian7396 Medicare usually covers 80%. If you have a Supplemental plan along with it, that covers the remaining 20%. If you signed up for a Medicare Advantage plan instead, they all vary.

[@udou365]

Does the procedure last a life time?

[@robertmeyer1885]

My first one lasted a couple of years and now I had to have it redone. The stats I've seen say 7% redo in the first 2 years, 14% redo in the first five years.

[@robertreznik9330]

My urologist said I am a good candidate for the urolift. A year ago I had a mri and scope. If I wait until next winter is it customary to have another full evaluation before I would have it done? I am taking .4mg of flow max every 12 hrs and have very much less discomfort. What are the long term issues of the drug and the urolift?

[@pnus]

Sounds like you are a good candidate. We can't give medical advice over the phone. Those are great questions and I hope your personal physician can answer them for you.

[@robertadams2857]

I had a scope for candidacy and was told I had one year to get the procedure. The scope was given with no anxiety meds and I’m sure I made it clear I was anxious. Hurt like hell but everything is good he says

[@felixsasu4238]

Pls do we have this treatment procedure in Paris ? thanks

[@pnus]

Our practice is in the United States, so not for certain, but it is worldwide, with many countries doing many more than the United States, and for many more years. Australia is one example.

[@felixsasu4238]

@@pnus Thanks

[@davidwilkins6280]

I had this done I Feb 2022 under general....no problems during or after EXCEPT...nothing changed Forsythe better...still up 4 times a night but now have ejaculation probs....I wanted iTIND but couldn't find anyone in USA. so opted for Urolift ...not a good decision!

[@lbamm]

Severe pain for 11 days, like trying to pass razor blades and blood. I did not have a catheter after surgery although my doctor said 80% of his patients have one for the first few days. It is several weeks now and the blood and pain have stopped but it still feels like burning when I urinate. Ultimately this is successful but if I had known just how painful it would be I probably would have passed on this surgery and tried something else. JMO

[@stevemccord8233]

I Agee a hundred percent to this comment. it was so painful! And still is mostly painful after 12 days. I wish I never had it done. To much risk and OMG the pain is awful to the point I thought I was going to pass out during the first week. I have no trust in the doctors anymore.

[@nondisclosed5439]

3 days ago. No pain during or after. Mild burn peeing thats it. I did work that afternoon. Dont be scared of this!!!! I was on nitrous and felt nothing--heard the 2 docs talking

[@woodman3416]

Why are the doctors performing the procedure only with local anesthesia, this should be done under general anesthesia. When you have a colonoscopy you are under general anesthesia. Same principle inserting a tube into your body. It seems to me doctors don’t care about your comfort just how fast they can get it done.

[@pnus]

I do the procedure under sedation similar to a colonoscopy. Patients have an option to do either. Some patients prefer a local anesthesia because the risk is lower and they can drive home after the procedure. It is not mandatory to be done one way or the other, you have a choice.

[@ratbrat9978]

I've had 2 colonoscopies 10 years apart. No anesthesia or sedation for either one. No problem at all. The one thing I was uncomfortable with is the minneapolis VA hospital seems to have only female staff for these and it pissed me off good. Also, their urology clinic has an all female support staff, because they just caaaaaan't (or won't') hire any, but had no difficulty adding an equally rare female urologist to their physician staff. While I have no issue with that per se, what makes me livid is knowing the occasional female patient is guaranteed same gender intimate urological care while I don't stand a snowballs chance in hell. Bet these clinics are the same fn way. Seems like female modesty is sancro sanct while men's are just a silly little non issue unworthy of acknowledgment, let alone any consideration. Goddamned male medical modesty and dignity double standard BULLSHIT.

[@robertstancliffsr9575]

Mine was done under general anesthesia. The terrible pain was when I could not pee at all and had to go to a hospital emergency room to get a catheter installed. Worst pain ever. After a year I am about the same as I was before anything was done....

[@jackfromthe60s]

@@ratbrat9978Jesus dude. You’ve got issues.

[@ratbrat9978]

@@jackfromthe60s Do abused women who are uncomfortable with opposite gender intimate care also have "issues"? And why are boobies soooooo personal and private that there are virtually no male mamagram techs ANYWHERE in the entire state of Minnesota that can perform them? Yet any female provider uncomfortable with being splayed out naked for a pap smear or pelvic exam with an all male support staff or refusing s male mamagram techs (if there even WAS such a thing)has no qualms about shoving what they find unmanageable up my ass, my dick and down my throat. Fuck those double standard, hypocritical, mysandrist clitasauruses and your "issues" BULLSHIT. Thank you soooooo much for your ignorance in perpetuating the GODDAMNED MALE MEDICAL MODESTY DOUBLE STANDARD FN BULLSHIT rampant throughput the entire fn medical community and contributing to why many men avoid needed medical carve and die statistically seven years earlier than women, you fn judgemental ( expletive deleted)!

[@bobtrocchia1907]

I Urolift late 2021. Not the result I was hoping for. Very light stream when peeing. I give it a 4 out of 10 for success.

[@jackfromthe60s]

Thanks for the update. It’s nice to hear a non-emotive post op report. Sorry it didn’t help you much.

[@stuff3583]

Don't get your tail in a knot. One week out. Just had the Urolift done. As for pain after..... it's pretty minimal to NONE. I had a Percoset, Lidocaine, and Antibiotics for 7 days.They placed 6 stents. The whole procedure took maybe 10 minutes. NO PAIN, no catheter. The only thing I feel is some burning while peeing and that may take another week to resolve..... it gets better each day. I do have almost uncontrollable urges to pee and wear pee pads just in case. If I need to...... I just pee into the pad if I'm not home, they're abosorbante enough to hold whatever the load, no racing for a bathroom and no one knows I just had an accident. Positioned properly the don't leak or show leakage! This too is resolving as my prostate heals.... the poor thing just had 6 stents fired through it. I'm not using my flomax at the moment. I'm looking forward to next week as things resolve..

[@robertmeyer1885]

Good for you, but you don't know squat until you've had it for at least two years.

[@eleveneleven6638]

Urolift made my condition WORSE !!! YOU'VE BEEN WARNED !!!

[@jjkouper5163]

Turn down the music and I’m being kind by saying music

[@firedo_g6268]

Stress inducing soundtrack for the background of a video on preparing for a medical procedure...brilliant! 😄

[@billblendick9780]

So, what is a Urolift ?

[@pnus]

Here is a description of the procedure compared to another common procedure: kzbin.info/www/bejne/nWPcooyPeMalqZI

[@michaelmitchell9023]

I wish I'd checked around, didnt help much and EXTREME discomfort, never again

[@ggh2123]

Music in this video was loud and creepy , so I could not finish watching it. Please edit the loud music for a great video .

[@boriswilliams5774]

The AMA and every Male yurologist needs to tell the TRUTH!!! Any time an instrument is being all. passed through a mans urethra its NIT minimally invasive at all.

[@samkitty5894]

There are many options for this and they all can have negative side effects. Instead of listening to the doctors who advertise various procedures, read the comments of people that went through the experience. Some are horrific...It is disappointing that in this day and age we still let old men suffer in agony. And the "best" solution is still the old TURP method, used for a century.

[@jeffstanley4593]

I had the urolift today. My bladder area is aching and the end of my penis feels like I have to pee incredibly bad. I have a Foley and it is working, there is urine going into the bag. I have to wear it two days. But like I said or tried to say, I am in misery. I have pain pills but it is not really pain, it is the sensation of having to go really bad. Anyone got any good suggestions?

[@Ed1Ward]

I was fully knocked out. Prefer that to a local.

[@pnus]

We have that option as well for men who prefer full anesthesia. Some men are not healthy enough for anesthetic or prefer to avoid that if possible.

[@Ed1Ward]

@@pnus Thank you. Also my surgeon insisted on an MRI beforehand to make sure no underlying issues would cause problems. MRI turned out clean. I'm now on day 5 recovery. So far the most painful day/night. No blood, no fever,, but other after symptoms video mentioned have occurred.

[@msks723]

@@pnus Do you have male nurses for the dignity of the patient? I do not want to be humiliated by female scrubs or nurses for private intimate procedures again. Many men do not seek medical attention because of female staff . After last procedure I am one of them.

[@claudiacotner1638]

I can understand that, as having a woman stick something up your penis is not the most pleasant thing. I felt comfortable with my doctors assistant doing it, but every individual is different. @@msks723

[@stuartlee6622]

What about retrograde ejaculation with Urolift??

[@jeffj318]

As far as I have read, it does not impact ejaculation.

[@danbenson7587]

Had a Urolift 7 hours ago and still on the catheter/baggie. I thought I was being a wimp, but reading the comments, “hurt like hell” is the norm. The Doc was a John Henry wannabe, loved the sound of the gun followed by muffled oink on my end. (His surname was German.) When I can get around to pee, will all those spikes will sound like a xylophone?. TBD. Oh the indignities of old age. Cheers, D

[@marckittleson7648]

I live in Orlando Florida. I'm having this procedure on April 16th. I'm 56 years old and in top physical condition. My prostate seemed to enlarge over night. I suddenly had difficulty urinating, emptying the bladder fully, weak stream, even pain. I've been on tamulosin and finasteride for a couple months. The tamulosin has helped but I still get up at night several times to urinate. The jury is out as to whether the finasteride is going to work. It takes a minimum 6 months for the prostate to shrink. My question is this. After the procedure is it recommended to still take the finasteride to keep the prostate from growing? I'm not having the sexual side effects some claim so I don't mind taking it. I just don't want to have to undergo another surgery in a couple years if the prostate grows over the urolift anchors.

[@pnus]

Marc Kittleson talk to your urologist doing the procedure about that. Most stop medications after the procedure. There is good long term data 5-10 years that shows long lasting success. There is likely atrophy of some of the prostate tissue that is compressed by the sutures that impairs growth. Finasteride would decrease growth further but does come with side effects that you mentioned. There are multiple considerations that are difficult to cover with a quick answer.

[@bobmac9070]

Read all these comments there from end of the spectrum to the other! Do your research first, read, listen watch a lot of videos and comments then make your decision. I’m almost 70 had it done last week. Was put to Sleep felt nothing. Get serious there is going to be some pain with any treatment to your prostate! In my case the catheter was removed the next day to early I had to go back and have it put back in for a few more days. Yes it’s a bit painful and uncomfortable. Things need to awaken after being shut down by anesthesia don’t be dump. It takes a little time to heal and recover. 1-2 weeks.

[@stuartlee6622]

If it ain't broke, don't fix it!

[@markowen6150]

Y’all need to work on the quality of your video.

[@easylivingsherpa]

Y'all need to get your own channel

[@paphy]

Never worked for me.

[@djarcen3498]

I just have it done. My prostate is so inflamated that I haven't been able to pee for hours now.

[@lindaguida4074]

Don’t do this procedure! My husband ended up in the hospital! It’s been a nightmare!!😢

[@MrDave1963]

What happened?

[@valeo6820]

Topical lidicaine only ? And you are using rigid cystoscope .....Are you kidding me ?

[@pnus]

We also use nitrous oxide or IV sedation. It depends on the patient and preferences.

[@robertadams2857]

Right

[@winchangkou]

Does not work

[@TheCount1945]

I had this procedure 2 days ago,and since then I CAN NOT PEE,I feel urgency and not come out from bladder btu from bowel yes wha to do ???

[@robertstancliffsr9575]

@@TheCount1945 I had to go to a hospital emergency room and get a catheter installed. Worst pain ever when I could not pee.......

[@msks723]

Do you have male nurses. I will not have female nurses or cnas seeing or touching my genitals again. Also want my spouse present for any procedures. Many men feel as I do and suffer because of this. I have been humiliated to many times by female scrub techs, nurses and cnas for private area care. Won't even have another colonoscopy. Definitely no more prostate procedures again unless I can have all male team. Men want same respect as women do. We just don't go get treatment because of the way we are treated without dignity and respect for our modesty.

[@boriswilliams5774]

Very well stated. You're 200% correct!

[@boriswilliams5774]

The medical profession knows this is a big problem but won't address it. They're afraid of it disrupting their money chain. All these Uroligist need to do is to hire male nurses more than one so they would be available for those men that prefer to have a male nurse. The Big Lie about they don't understand why men don't go to doctors. They allowed this mess to happen!!!! Many men avoid going because of how females have treated them. Even so the doctor is largely at fault for allowing this and not doing anything about it.

[@teddylilljedahl9365]

I rather enjoyed the nurses handling my package. While the local procedure was being preformed, a LARGE breasted young nurse with a tight sweater kept me so occupied that they could have run that appliance through my brain. I am going back tomorrow for a follow up.

[@jackfromthe60s]

You’ve been making similar comments elsewhere on this video. You actually think you can demand an all male surgical team? I think you need a psychologist, not a urologist.

[@jackfromthe60s]

@@boriswilliams5774no he’s not

[@sj505]

Sure you have a female nurse inject lidocaine. Hire male nurses fo those men who do not want females staff for intimate care.

[@cdeprima1209]

NO, MAKES YOU IMPOTENT! JSUT LIVE CLEAN, NO DRUGS, NO RX, NO MEAT! :)

[@staypawsative9119]

Nothing wrong with meat. Quit scaring people

[@eleveneleven6638]

Urolift completely and permanently destroyed my life !!!! Now I am faced with my new urologist wanting to do another surgery (greenlight) to correct to the botched UROLIFT procedure. I am told I would have to self catheterize everyday possible for the rest of my life. My symptoms now are WORSE than before Urolift. Please be advised and don't say I didn't warn you if you get this procedure !!!!!

[@eleveneleven6638]

Urolift completely and permanently destroyed my life !!!! Now I am faced with my new urologist wanting to do another surgery (greenlight) to correct to the botched UROLIFT procedure. I am told I would have to self catheterize everyday possible for the rest of my life. My symptoms now are WORSE than before Urolift. Please be advised and don't say I didn't warn you if you get this procedure !!!!!

[@eleveneleven6638]

Urolift completely and permanently destroyed my life !!!! Now I am faced with my new urologist wanting to do another surgery (greenlight) to correct to the botched UROLIFT procedure. I am told I would have to self catheterize everyday possible for the rest of my life. My symptoms now are WORSE than before Urolift. Please be advised and don't say I didn't warn you if you get this procedure !!!!!